Individual provider · Type 1 NPI
Dedrae Kelly, PLPC
Counselor · Columbia, MO
NPI number
1336703271
Active
Practice location
401 N Keene St
Columbia, MO 65201-6625
Fax (573) 441-2668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 2019012965 (MO) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1336703271
Dedrae Kelly, PLPC's National Provider Identifier is 1336703271, issued on Apr 25, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Columbia, MO. The record was last updated on Apr 25, 2019.